Group Health, a unit of Emblem Health, was using improper billing and claims practices to overcharge its members for seeing out-of-network providers, New York Attorney General Eric Schneiderman said Tuesday.
Blue Cross Blue Shield of Texas owes $3.7 million to a health provider system for contested claims that left patients facing pricey medical bills, according to a lawsuit against the insurer.
Major insurance companies in New York are to blame for so-called "surprise" out-of-network bills that often result after scheduled, non-emergency and insurer-approved medical services,...
Aetna is suing seven California surgery centers, claiming they illegally lure customers and overbill up to 2,500 percent more than they pay providers for procedures, reported Bloomberg . The lawsuit,...
Eight New York insurers have agreed to pay a $60,000 collective fine and will ensure their provider directories are accurate under a settlement agreement with the state attorney's general office.
Horizon Blue Cross Blue Shield of New Jersey has asked its members not to use the Bayonne Medical Center because the hospital charges "exorbitantly high" fees. In a letter to its members, Horizon
Ambulatory surgery centers (ASCs), led by the California centers Downey Surgical Clinic and Tarzana Surgery Center, are following in the footsteps of physicians to battle Minnetonka, Minn.-based
The American Medical Association recently argued in U.S. District Court in Los Angeles that Indianapolis-based WellPoint, held its out-of-network reimbursements artificially low for several years.